JILL M JOHNSON (APRN) – Nurse Practitioner, NPI 1700177292

JILL M JOHNSON (APRN) is a healthcare provider. based in Corbin, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3006871 (KY). The NPI Number for JILL M JOHNSON (APRN) is 1700177292

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
JILL M JOHNSON (APRN)
NPI
1700177292
Phone
(606) 526-9005
Address
1019 CUMBERLAND FALLS HWY
Enumeration Date
2 May 2011
Last Update Date
20 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6065464060
Graduation Year
2010 (16 years ago)
PAC ID
2769660901
Group Practice PAC ID
7416867387
Professional Enrollment ID
I20110617000113
Address ID
KY409067917BA315XXDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:15State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for JILL M JOHNSON (APRN)

  • 1019 CUMBERLAND FALLS HWY

    SUITE B201

    CORBIN, KY 407012735

    Phone: (606) 526-9005

    Fax: (606) 526-8606

    Type: Mailing

  • 39 CUMBERLAND GAP PLZ

    GRAY, KY 407344536

    Phone: (606) 526-9005

    Fax: (606) 526-8606

    Type: Location

  • PO BOX 1150

    BARBOURVILLE, KY 409065150

    Phone: (606) 546-9287

    Fax: (606) 546-2860

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $184.

Total Amount is formed as General ($184) + Research ($0) + Ownership ($0) = $184.

Last reported payment date: 2024-05-10 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($121).

Total Amount

$184

General + Research + Ownership

Payments

2

Total payment records

General Amount

$184

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-06-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110617000113INurse PractitionerKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg20425$0
99213Established patient office or other outpatient visit, 20-29 minutes10494$0
87804Detection test by immunoassay with direct visual observation for influenza virus7537$0
J0696Injection, ceftriaxone sodium, per 250 mg7018$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus5247$0
View full utilization report →

Insurance plans in this area (ZIP 40701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416867387View full group profile
NameSpecialtyState
Physician AssistantKY
Physician AssistantKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
O P T O M E T R YKY
Nurse PractitionerKY
Nurse PractitionerKY
Emergency MedicineKY
Physician AssistantKY

Reviews

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Frequently asked questions

How do I look up JILL M JOHNSON (APRN) by NPI?
Use NPI 1700177292 when you need to reference JILL M JOHNSON (APRN) in forms, claims, or directories.
Is JILL M JOHNSON (APRN) active in the national directory?
JILL M JOHNSON (APRN)'s public NPI profile is in an active state.
What does JILL M JOHNSON (APRN) treat or focus on?
Patients typically see JILL M JOHNSON (APRN) under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is JILL M JOHNSON (APRN)'s primary listing?
We display Corbin, Kentucky because that is what the record indicates for JILL M JOHNSON (APRN).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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